感染根管中的产黑色素类杆菌群与临床症状的关系

本文应用免疫荧光法对８０例尖周病变之感柒根管内的产黑色素类杆菌群进行了检测。结果显示慢性尖周炎急性发作产黑色素类杆菌检出率明显高于慢性尖周炎,且根管内产黑菌群与多组临床症状育关。认为产黑菌群为感柒根管的关键性厌氧菌。     

口腔各种产黑色素类杆菌外膜结构的电镜观察

本文对从根管中分离的产黑色素类杆菌群的部分菌株:牙髓类杆菌、牙龈类杆菌、中间型类杆菌、产黑色素类杆菌的表面结构进行了电镜观察。观察发现牙髓类杆菌、牙龈类杆菌表面有放射状排列的菌毛样结构;牙龈类杆菌表面有荚膜;多数细菌的细胞膜外有多个小泡状结构;这些结构可能在细菌吸附于组织的过程中起着重要的作用。     

血液链球菌对牙周可疑致病菌的拮抗作用

本实验观察了血液链球菌对与牙周组织破坏关系密切的５种细菌的拮抗作用,包括：放线共生放线杆菌、牙龈类杆菌１中间类杆菌,产黑色素类杆菌、具核梭杆菌、二氧化碳噬纤维菌和放线菌。结果表明,在体外,血液链球菌除对粘性放线菌无拮抗作用外,对所有参试的这几种牙周可疑致病菌均有拮抗作用。拮抗物质存在于血液链球菌生活的细胞内。     

牙髓类杆菌的分离、培养、鉴定

试验目的是为寻找口腔内产黑色素类杆菌群中新的菌种一牙髓类杆菌(Bacteroides·endodontalis),试验选择牙髓腔感染的成年患者80例,儿童患者(14岁以下)18例,在厌氧环境下用光滑髓针加棉捻方法收集标本,经厌氧培养,对在CDC琼脂培养基(含0.01％Vitk_3及0.05％氯化血红素)上生长的产黑色素的菌落进行生化,直接血凝试验、气相色谱分析、间接荧光免疫(国际参考株     

牙髓紫卟啉杆菌血清学特性分析

牙髓类杆菌曾是重要的产黑色素类杆菌群菌株,最近重新命名为牙髓紫卟啉杆菌,与牙髓尖周感染和牙源性脓肿有特殊关系。本文用牙髓紫卟啉杆菌ATCC 35406国际标准菌株免疫Balb/c小鼠制得免疫血清,ELISA法检测该抗血清的特异性。发现与中间型类杆菌、产黑色素类杆菌、赖氏类杆菌、躯体类杆菌、牙类杆菌、牙龈紫卟啉杆菌、脆弱类杆菌、黄褐二氧化碳嗜纤维菌、生痰二氧化碳嗜纤维菌、衣氏放线菌反应均阴性,而同不解糖紫卟啉杆菌呈现弱阳性反应,说明矛髓紫卟啉杆菌与不解糖紫卟啉杆菌具有某种相同抗原结构,存在血清交叉反应,血清学关系较近。牙髓紫卟啉杆茵多克隆抗体直接用于临床该菌的检出与鉴定,尚存一定缺陷。     

固定矫正器矫正治疗错颌畸形对口腔微生态环境的影响

目的探讨固定矫正器矫正治疗错颌畸形对口腔微生态环境的影响。方法选择51例在口腔科采用固定矫正器进行矫正的错颌畸形患者,分别在矫正前后对口腔微生物进行培养,观察并比较矫正前后口腔微生态环境的变化情况。结果矫正治疗后1个月口腔牙龈卟啉单胞菌、伴放线杆菌、产黑色素类杆菌的检出率较矫正前升高(P均0.05),而口腔核酸杆菌、衣氏放线菌的检出率与矫正前比较差异无统计学意义(P均0.05),矫正后2个月、4个月、6个月口腔牙龈卟啉单胞菌、伴放线杆菌、核酸杆菌、产黑色素类杆菌及衣氏放线菌的检出率均高于矫正前(P0.05或P0.01)。结论采用固定矫正器矫正治疗错颌畸形会造成口腔微生态的改变,破坏口腔内环境的平衡,容易引起口腔疾病的发生,应早期进行预防及干预治疗。     

用间接荧光免疫法快速检测牙周袋内牙龈类杆菌

本试验选择成年牙周炎致病菌—产黑色素类杆菌群中牙龈类杆菌为指示菌,用牙龈类杆菌47A—1参考株制备标准抗血清,并和羊抗兔IgG荧光抗体,直接与牙周龈下菌斑标本涂片进行间接荧光反应,计数一个视野荧光反应阳性的牙龈类杆菌的菌数(三个视野平均值)。全过程只需1.5～2小时。用此法检查了90例健康人,75例牙龈炎及70例牙周炎患者,结果发现正常牙周人的牙龈类杆菌菌数为     

牙龈卟啉杆菌W83单克隆抗体的研制与鉴定

牙龈类杆菌曾是重要的产黑色素类杆菌群菌株,最近重新命名为牙龈卟啉杆菌,该菌为牙周病龈下菌斑中关键性厌氧菌,与成人慢性牙周炎的发生、发展有密切关系。作者用牙龈卟啉杆菌侵袭型菌株W83,作为免疫原,通过免疫小鼠、细胞融合、筛选、克隆化,最后得到一株能够稳定分泌抗牙龈卟啉杆菌W83的单克隆抗体杂交瘤细胞系,经鉴定该单抗特异性良好,可用于临床该菌的检出和生态学研究。     

产黑色素拟杆菌群菌株的培养,鉴定及其免疫血清的特异性检测

本文报告了6种产黑色素拟杆菌国际标准菌株、2株参考菌株的培养、鉴定特点。厌氧菌药敏试验发现中间型拟杆菌、牙龈拟杆菌、产黑色素拟杆菌对头孢霉素、利福平、灭滴灵、青霉素、洁霉素、氨苄青霉素、羧苄青霉索敏感,可供临床治疗中参考。对中间型拟杆菌、牙龈拟杆菌、产黑色素拟杆菌、不解糖拟杆菌,牙髓拟杆菌制备的免疫血清进行了特异性鉴定,发现牙龈拟杆菌免疫血清特异性强,可用于临床辅助鉴定该菌,其它免疫血清均具有不同程度的交叉反应。     

厌氧产黑色素杆菌群超微结构观察

厌氧产黑色素杆菌群在人口腔内的各处感染中起着重要作用，本文利用电子显微镜对八种产黑色素杆菌做了动态的超微结构观察，以进一步揭示菌体结构与其毒性的关系，为口腔感染疾患的细菌病因学机制提供超微形态学的理论依据。     

Immunomodulating properties of various microbes--representatives of normal intestinal microflora]

The impact of oral administration of heat-killed bifidobacteria, lactobacteria, enterococci and bacteroides on mouse resistance to experimental salmonellosis and content of immunoglobulin-synthesizing cells in the proper plate of the small intestine was studied. It was shown that the administration of the killed bifidobacteria, lactobacteria and enterococci increased the animal resistance to experimental salmonellosis infection and induced an increase in the content of immunoglobulin-synthesizing cells in the proper plate of the small intestine. The administration of the killed bacteroides had no such effect. Possible development of bacterial preparations with immunomodulating properties based on killed bifidobacteria, lactobacteria or enterococci is discussed.     

Intergeneric rosettes: sequestered surface recognition among human periodontal bacteria.

The human oral bacteria, Streptococcus sanguis and Bacteroides loescheii, when mixed in equal numbers in vitro, formed large settling coaggregates. As the relative number of each cell type was changed, coaggregates became smaller until at cell-type ratios of 10 to 1, rosettes formed. Rosettes consisting of a streptococcal cell in the center surrounded by bacteroides cells exhibited surface recognition properties of only the bacteroides, which coaggregated with many other cell types such as Actinomyces naeslundii, and formed large settling multigeneric aggregates. The ecological significance of these results derives from the following: (i) the direct demonstration that intergeneric coaggregates can protect the central cell from or prevent its access to other cells in the environment, and (ii) the potential for these effects to occur during bacterial succession of various cell types observed in progressively more severe stages of human periodontal disease.     

Intergeneric rosettes: sequestered surface recognition among human periodontal bacteria

The human oral bacteria, Streptococcus sanguis and Bacteroides loescheii, when mixed in equal numbers in vitro, formed large settling coaggregates. As the relative number of each cell type was changed, coaggregates became smaller until at cell-type ratios of 10 to 1, rosettes formed. Rosettes consisting of a streptococcal cell in the center surrounded by bacteroides cells exhibited surface recognition properties of only the bacteroides, which coaggregated with many other cell types such as Actinomyces naeslundii, and formed large settling multigeneric aggregates. The ecological significance of these results derives from the following: (i) the direct demonstration that intergeneric coaggregates can protect the central cell from or prevent its access to other cells in the environment, and (ii) the potential for these effects to occur during bacterial succession of various cell types observed in progressively more severe stages of human periodontal disease.     

Deoxyribonucleic acid methylation and development in Caulobacter bacteroides

The stalked bacterium Caulobacter bacteroides, which displays a series of developmental changes during its life cycle, was shown to contain the methylated deoxyribonucleic acid (DNA) nucleotide bases N(6)-methyladenine and 5-methylcytosine as well as the enzymes required for the synthesis of these bases. A difference in the specific activity of these enzymes was observed between swarmer cells, which are low in activity, and stalked cells, which are high in activity. This difference was not reflected in the methylation patterns in the DNA of the two cell types since C. bacteroides DNA is essentially completely methylated with respect to C. bacteroides methylases.     

Colonization resistance against Pseudomonas aeruginosa in gnotobiotic mice

Gnotobiotic (GB) mice were colonized with various groups of intestinal bacteria to determine which members of the indigenous flora would exert colonization resistance against Pseudomonas aeruginosa. P. aeruginosa was cultured from the faeces at levels of 10(3)-10(4) cells/g in GB mice inoculated with either the combination of bacteroides and clostridia obtained from conventional (CV) mice or the combination of bacteroides, lactobacilli and clostridia obtained from limited flora mice. The combination of lactobacilli and clostridia from CV mice also did not eliminate P. aeruginosa from GB mice. However, P. aeruginosa was not detected in the faeces of GB mice by 14 days after inoculation with the combination of bacteroides, lactobacilli and clostridia obtained from CV mice. Thus, a complex indigenous flora consisting of bacteroides, lactobacilli and certain clostridia obtained from CV mice but not clostridia obtained from limited flora mice is required to exert complete colonization resistance against P. aeruginosa in GB mice.     

Clinical Importance of Infections due to Bacteroides fragilis and Role of Antibiotic Therapy

Out of 200 infections due to Bacteroides fragilis occurring over a period of three years 133 were related to the intestinal tract, 55 to the genitourinary tract, and the remainder were in bedsores and ulcers; 56% occurred in patients undergoing major intestinal surgery.B. fragilis was isolated in pure culture from 56% of the infections. In mixed culture it was most commonly associated with Klebsiella and Enterobacter species. Other anaerobic bacteria were isolated in 9% of the mixed cultures.Altogether 131 (65·5%) of the patients recovered without antibiotic therapy or further surgery, but 59 (29·5%) developed complications and 10 (5%) died. The commonest complication was abscess formation, and the incidence was highest with infections associated with malignancy (44%) and lowest with obstetric infections (5%). The mortality was 5% overall but in the presence of bacteraemia it rose to 33%.Only 43 patients received appropriate chemotherapy. Clindamycin was the most effective antibiotic, having a recovery rate of 78%, but this rate was little better than in untreated patients (65%). The role of prophylactic antibiotic therapy in preventing bacteroides infection remains to be studied.The incidence of the isolation of bacteroides from wound infections after major intestinal surgery rose from 13% in 1970 to 81% in 1973. This increase was due to both the accurate collection and care of specimens while in transit to the laboratory and the use of selective media for the isolation of bacteroides in laboratory culture. The importance of these precautions is emphasized.     

类杆菌分类的脱氢酶系列

国外已建立了4h水解酶色原底物系列,成功地用于厌氧菌的分类与鉴定,鉴于国内的无系列水解底物,我们对厌氧菌系列脱氢酶进行了研究,以便建立一种快速鉴定系列。为此选择类杆菌的参考株作为分类单位,以不同的糖、氨基酸和有机酸的天然底物纸片与细菌完整细胞进行酶学反应,并以四唑盐受氢后以变色效应来指示酶的存在。筛选了18项脱氢底物与色氨酸、尿素一起,组成20项以检测细菌脱氢酶为主的系列,研究发现完整的菌细胞可以较好地表现底物的脱氢酶活性,酶的分布具有菌种特征,这个系列在有氧条件下,30～60min出现明显的可见反应。以4株脆类杆菌参考株进行24次重复试验,其中9项的阳性概率为0.99,7项为0.01,其它4项分别是0.03,0.125,0.5和0.66。尤其胆酸脱氢酶与常规胆汁抑制试验有较好的相关性,有可能取代厌氧菌分类中有要意义的20％胆汁抑制实验。     

Impact of Bifidobacterium longum on human fecal microflora.

The effects of Bifidobacterium longum feedings for five weeks on the fecal microflora, water contents, pH values, ammonia concentration, and beta-glucuronidase activity were investigated in five healthy human volunteers. Although numbers of major bacterial groups of the fecal microflora were not changed by the bifidobacteria feedings, a remarkably decreasing number of lecithinase-negative clostridia was observed. The percentage of lecithinase-negative clostridia and bacteroides to the total bacterial numbers isolated were decreased during the feedings and numbers of C. paraputrificum and C. innocuum were reduced. A significant reduction of fecal pH values for the last week of the feeding was observed. Ammonia concentration and beta-glucuronidase activity in the feces during the feedings were significantly lower than those before or after the feedings. The oral supplement of B. longum may be introduced to improve the fecal properties such as fecal ammonia concentration and beta-glucuronidase activity, but not the composition of fecal flora.     

Chemotherapy of bacteroides infection under clinical and experimental conditions

Bacteroides were detected in pus and bioptates of the majority of 125 patients with purulent and purulent septic infections of various localization. In 90 per cent of the subjects the bacteroides were detected in association with aerobes, facultative and obligate anaerobic bacteria. The species of the bacteroides and concomitant microflora isolated from the cases with different diseases were defined by endogenic sources of the microbial contamination. Sensitivity of 112 bacteroide strains to antimicrobial agents was tested. Chloramphenicol, clindamycin, metronidazole, cefotaxime and heliomycin proved to be the most efficient. Efficacy of heliomycin was detected in hamsters with experimental bacteroide infection in the buccal sac. Thorough bacteriological examination is required for rational chemotherapy of bacteroide infections.